Han, Grace Boyoung
Han, Grace Boyoung is an sole proprietor health care provider with primary practice located at 26015 60Th Ave , Little Neck NY 11362-2535. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Han, Grace Boyoung can be contacted via phone (718) 578-1126.Contact Information
Primary practice address
26015 60Th Ave
Little Neck NY 11362-2535
Phone: (718) 578-1126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 052066 | New York |
Profile Details
| NPI number | 1386850303 |
|---|---|
| LBN Legal business name | Han, Grace Boyoung |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | May 3rd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386850303 | NPPES |
| New York | MEDICAID | 02713633 |
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